Jobs › Companies › Sutter Health › Provider Network Specialist III

About this Provider Network Specialist III role at Sutter Health

Sutter Health · Onsite · Emeryville

We are so glad you are interested in joining Sutter Health!

Organization:

SHSO-Population Health Services-Bay

Position Overview:

Is responsible for the contract management of provider network agreements and negotiation of contract Letter of Agreements (LOAs). The primary focus is to assure the availability of contracted primary care and specialty providers to meet the geographic demand of the managed care contracts and other risk contracts under design. Provides analytical support budgeting and contracting. May assist in special projects as assigned.

Job Description:

EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.

  • Bachelor's: Business Administration, Healthcare Management, Finance or related field

TYPICAL EXPERIENCE:

  • 5 years recent relevant experience.

SKILLS AND KNOWLEDGE:

  • Working knowledge of health care, especially managed care principles, in particular the provider and HMO relationship and Medicare/Medi-Cal principals.
  • Problem solving skills including financial, business, and contract analysis.
  • Knowledge of health care contract and billing terminology, provisions and reimbursement methodologies including managed care risk contracting and workers compensation.
  • Ability to work in a fast-paced, complex health care setting.
  • Knowledge of PC hardware and software including MS Office (Word, PowerPoint and Excel), and the operation of a fax machine, scanner, and copier.
  • Organizational skills and the ability to balance numerous priorities at a given time with minimal supervision.
  • Ability to field questions and translate those into meaningful action and solutions.
  • Ability to independently assess and structure data from diverse sources.

Job Shift:

Days

Schedule:

Full Time

Days of the Week:

Monday - Friday

Weekend Requirements:

None

Benefits:

Yes

Unions:

No

Position Status:

Exempt

Weekly Hours:

40

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $111,592.00 to $167,398.40 / annual salary. Sacramento Valley Pay Range is $97,032.00 to $145,558.00 / annual salary.

The posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

Ready to apply to Sutter Health?
Apply to Sutter Health

About Sutter Health

Working at Sutter Health Sutter Health values and supports the unique talents and strengths that each employee brings to our organization. As a result, you are empowered to apply your passion for healing in innovative ways to care for patients and their families.

See all jobs at Sutter Health →

Similar jobs

Sign up for suggestions tailored to the jobs you open and the searches you save.

More jobs at Sutter Health

See all jobs at Sutter Health →

Apply now
🤖

Whoa — hold up

JobsRadar was built for real people having a rough time in their job search — not for automated requests. You're clicking way too fast and you're now temporarily blocked.

Come back later. If you're genuinely job hunting, we've got your back — just act like a human.

Catch your next role the second it’s posted.

Create a free account and we’ll watch the boards for you — the instant a job matches your search, it lands in your inbox or Telegram. No digging, no refreshing.

Create free account

Free forever · takes 30 seconds · already have one?

Get an edge on your job hunt.

Join our Telegram channel for the stuff that helps you land the role — salary benchmarks, the weekly market pulse, and new-feature drops. No spam, just signal.

Join the channel — it's free